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《神农本草经》与经方应用之麻黄篇OA

Shennong's Classic of Materia Medica and Mahuang(Ephedrae Herba)in Application of Classic Formulas

中文摘要英文摘要

麻黄是经方常用药物之一,《神农本草经》描述其功效为"主中风伤寒头痛,温疟发表出汗,去邪热气,止咳逆上气,除寒热,破癥坚积聚".《伤寒杂病论》以《神农本草经》中麻黄功效为基础,进行药物配伍形成短小精炼的经典方剂,至今仍有深刻影响.如麻黄"主中风伤寒头痛",多配伍桂枝、苦杏仁、葛根、石膏,以麻黄汤、葛根汤、大青龙汤为代表方;主"温疟发表出汗,去邪热气",多配伍桂枝、芍药、石膏,以桂枝二越婢一汤为代表方;主"止咳逆上气,除寒热",多配伍射干、石膏、半夏、细辛、五味子,以小青龙加石膏汤、射干麻黄汤、越婢加半夏汤、麻黄杏仁甘草石膏汤等为代表方;主"破癥坚积聚",多配伍桂枝,附子,芍药,以桂枝芍药知母汤、乌头汤为代表方.张仲景在继承《神农本草经》麻黄功效的同时进行发展与创新,如利水消肿.应用麻黄时应互参《神农本草经》及《伤寒杂病论》.

Mahuang(Ephedrae Herba)is one of the commonly used medicinal herbs in classic formulas.Shennong's Classic of Materia Medica describes its efficacy as"treating wind stroke,cold damage,headache and malaria,relieving warm malaria by inducing sweating,eliminating pathogenic heat,relieving cough and adverse rising of qi,expelling cold-heat pathogen,resolving abdominal lump and accumulation".Based on the efficacy of Mahuang recorded in Shennong's Classic of Materia Medica,Treatise on Cold Damage and Miscellaneous Diseases developed concise and refined classical formulas through herbal compatibility,which still exert profound influence up to now.For example,in treating"wind stroke,cold damage and headache",Mahuang is mostly combined with Guizhi(Cinnamomi Ramulus),Kuxingren(Armeniacae Semen Amarum),Gegen(Puerariae Lobatae Radix)and Shigao(Gyp-sum),with representative formulas such as Mahuang Decoction(麻黄汤),Gegen Decoction(葛根汤)and Daqinglong Decoction(大青龙汤);in relieving"warm malaria by inducing sweating and eliminating pathogenic heat",it is mostly combined with Guizhi,Shaoyao(Paeoniae Radix)and Shigao,with Guizhi Er Yuebi Yi Decoction(桂枝二越婢一汤)as the representative formula;in relieving"cough and adverse rising of qi and expelling cold-heat pathogen",it is mostly combined with Shegan(Belamcandae Rhizoma),Shigao,Banxia(Pinelliae Rhizoma),Xixin(Asari Radix et Rhizoma)and Wuweizi(Schisandrae Chinensis Fructus),with representative formulas including Xiaoqinglong Jia Shigao Decoction(小青龙加石膏汤),Shegan Mahuang Decoction(射干麻黄汤),Yuebi Jia Banxia Decoction(越婢加半夏汤)and Mahuang Xingren Gancao Shigao Decoction(麻黄杏仁甘草石膏汤);in"resolving abdominal lump and accumulation",it is mostly combined with Guizhi,Fuzi(Aconiti Radix Lateralis Preparata)and Shaoyao,with representative formulas like Guizhi Shaoyao Zhimu Decoction(桂枝芍药知母汤)and Wutou Decoction(乌头汤).While inheriting the efficacy of Mahuang from Shennong's Classic of Materia Medica,ZHANG Zhongjing also made developments and innovations,such as adding the effect of inducing diuresis to alleviate edema.When applying Mahuang,one should refer to both Shennong's Classic of Materia Medica and Treatise on Cold Damage and Miscellaneous Diseases.

彭雪;张岱泽;白湘玉;袁红霞

天津中医药大学研究生院,天津 301617天津中医药大学研究生院,天津 301617天津中医药大学研究生院,天津 301617天津中医药大学中医学院,天津 301617

医药卫生

《神农本草经》《伤寒杂病论》麻黄中风伤寒头痛温疟止咳逆上气破癥坚积聚

Shennong's Classic of Materia MedicaTreatise on Cold Damage and Miscellaneous DiseasesMahuang(Ephedrae Herba)wind stroke,cold damage and headachewarm malariarelieving cough and adverse rising of qiresolving abdominal lump and accumulation

《山东中医药大学学报》 2026 (1)

42-46,91,6

天津市教委科研计划项目(编号:2021JWZD23)

10.16294/j.cnki.1007-659x.2026.01.008

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